PSY7003D Individual Differences And Mental Health Assignment Sample

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Introduction - PSY7003D Individual Differences And Mental Health Assignment Sample

The individual differences in mental health can be presented as the variations that individuals have in presenting responses, actions, and expressions due to the differences in mental wellness conditions. The difference in mental health is one of the most critical variations of a person that arises from the influence of multiple factors such as early life experience, individual personality traits, the influence of society, and biological construction. In effective healthcare delivery, understanding the complexities and differences in mental health is very important. This is one of the core factors of identifying a person’s unique needs and providing personalized health care delivery.

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Explanation and Interpretation of ZR’s Experience and Causes

The mental health state of a person is a combined effort of social, physiological, and biological factors. In the present case, the mental health aspects of ZR are highlighted regarding his own life experiences and outside actions. There are negative scientific events such as pass away of a close friend, in the life of ZR that forced him to undergo a mental health examination. In the examination of mental health regarding the identification of patterns to behavioural responses and emotional states. In this process, the applied model is going to be a cognitive behavioural model. This behavioural model is expected to present a structural way of understanding the overall life experience of ZR related potential causes to mental health decrease and relevant treatment plans.

The cognitive behavior model follows that a person’s behaviors and thoughts are interconnected, thus any negative events can possibly trigger some negative thoughts and behavioral factors. The experience of ZR regarding the incident of a heart attack of his dear friend has a significantly negative effect on his mental state. The factors include negative effects through the processing of accidents and illnesses, which also manage to develop relevant side effects. The CBT conceptualization of worry describes worry as a mental behavior or process, characterized by repetitive negative thinking about catastrophic future outcomes (Curtiss et al., 2021). The negative experience of ZR and its effects can be described by more effective physiological frameworks, such as the cognitive behaviour model. CBT is based on a straightforward, common sense model of the relationships among cognition, emotion, and behaviour, where its three critical aspects include Automatic thoughts, Cognitive distortions, and Underlying beliefs or schemas (ncbi.nlm.nih.gov, 2023).

PSY7003D Individual Differences And Mental Health Assignment Sample

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Cognitive Distortions and the Intrusive Thoughts

The cognitive distortion can be described as the negative thoughts of ZR regarding the potential chances of illness and accidents. The cognitive distortions are very specific mental statements where the person’s thought processing includes the assumption of the worst possible outcomes or results (Kosheleva, 2021). ZR also shows a high level of responsibility due to his constant observations regarding the health condition of connected personnel. The hyper responsible characteristics are some of the most common aspects that can be found in the health condition of obsessive-compulsive tendencies (Murat, 2024). The loss of his dear friend has made significant changes in his thought processing, which includes strict observation and tracking of health to all his loved ones in order to eliminate any further loss of life.
Those observations declared that the high distress level of ZR might have been influenced by two cognitive distortion factors, which include magnification and generalization (Wang et al., 2025). In regards to ZR’s case scenario, the magnification aspects include highly exaggerating the changes and likelihood of generalizing to individual actions or specific scenarios. On the other hand, overgeneralizations are considered as the belief of ZR, which includes the possibility of multiple unavoidable tragedies or negative events after the presence of one. This highly obsessive thing and characteristics of thought processing are results of higher anxiety levels and their relevant compulsive behaviours. However, those compulsive behaviours can be the reactions of inhibiting anxiety levels that his body creates to minimize them.

Behavioural Factors (Compulsive Skin Picking)

Body Focused Repetitive Behaviours (BFRB) is an umbrella term for undesirable, repetitive motor activities that are engaged in to eliminate a part of the body and may result in impaired functionality (Okumuş and Akdemir, 2022). The skin picking behaviour of ZR can also be described as a BFRB, which can also be stated as a coping mechanism that aims to minimize the anxiety level of ZR and stabilize mental pressure. However, regarding the case statements of ZR, the compulsive behaviour of not being able to present a full relief to his distressing negative thoughts of herms. Body focused repetitive behaviour (BFRB) disorders, including hair pulling disorder (trichotillomania [TTM]) and skin picking disorder (SPD), are characterized by repetitive behaviours directed towards the body that cause significant distress or impairment, which can be stated in the Diagnostic and Statistical Manual of Mental Disorders (Barber et al., 2024). This makes the behavioural distress highly connected to the emotional distress and anxiety, which can also be presented as an attempt of self-regulation for ZR. 

Cognitive Factors (Grief and Guilt)

The highlighted negative and conservative through of ZR, such as the health risk of loved ones, is due to the stable feeling of grief and guilt. One of the core events that contributes to the feeling of guilt and grief is the traumatic incident of the passing away of the close friend of ZR due to a heart attack. In this presence, the feelings of self-blaming can also be described as a coping mechanism which is carried out by the ZR is stressful or anxiety situations. The stages and impact of grief were effectively described by the Five Stage Model of Kubler Ross. According to Kubler Ross ' Five Stage Model, in some unique circumstances, a person can blame oneself or others for the illness or any other catastrophic event (mbaknol.com, 2025). In the negative situations of ZR, guilt can be a common emotion or feeling when the action can possibly be prevented by him. The reaction of his guilt and grief might results in a significant increase in the general health awareness level of potential risk factors in his mind. Those thoughts further strengthen the negative through processes and impulsive behaviours. The reaction of guilt in ZR highlights his irrational responsibility, where he blamed himself for not being fully aware of his friend’s poor health condition. This is also a type of cognitive distortion that generalizes the attempts of an individual to take responsibility that do not belong to them or are beyond their area of control (psychcentral.com, 2024).

Triggers of ZR’s Symptoms

The health related symptoms of ZR generally occurred during times of high stress level and through the processing of the passing of his dear friend. The unique characteristics of ZR’s symptoms directly align with the Cognitive Behavioural model of Anxiety. The CBT model of anxiety indicates that when the anxiety level of a person exceeds a particular limit, it triggers a specific pattern and behaviour of thoughts (Oleksandra et al., 2021). The extreme responsibility and cautions of ZR further indicate his efforts to take control uncertain events of life towards him and his loved ones. This is also one of the most general responses that an individual body gives towards any anxiety disorders. On the other hand, the stress level of a person is also reputed to influence those behavioural aspects. The stress level of ZR makes the anxiety and thoughts more critical for him, which cannot be able to be neutralised by some common coping mechanisms which includes skin picking.

Influence of social and environmental factors

The social and environmental factors also contribute significantly towards the mental health of a person, which is also been for the case for ZR. The distressing thoughts of ZR regarding the potential risk factors of life have been highly acknowledged by both his family and friend groups. However, minimal attention has been given to the coping mechanism of skin picking, which is stated to be a harmless action. This lack of intervention and actions to words minimizing the coping reaction can result in strengthening the effects of his compulsive behaviour. It can also be expected that the professional field of ZR, which is a civil servant, further influences the stress level to be high, which improves the scalability of symptoms.

The social learning theories also suggest that the behaviours of a person can be influenced by social responsiveness and environmental influences (Firmansyah and Saepuloh, 2022). In the world of ZR, the responses and through processing of him are justified by the environmental and social factors, which can increase the responsible sense of him to prevent any harmful actions. And the core cause of those negative behaviours and symptoms is higher entry levels and severe compulsive behaviours. 

Possible Causes of Mental Health Conditions

The symptoms, reactions, and thought processing patterns of ZR were aligned with multiple aspects that decrease the mental health condition. The mental health states highlight one or more specific factors of the poor health condition of ZR. This statement highlights the importance of a deeper assessment of mental health.

Methods to justify the determined causes or explanations

The insurance regarding the accuracy and justification of the explanations of the causes and symptoms, multiple assessment methods can be applicable. Those methods aimed to present a detailed clinical assessment while considering behavioural analysis and measurement. The applicable methods to the case statement of ZR can be presented below.

Clinical Review and Assessment

The clinical reviews include a structured interview method that is one of the most effective tools for assessing the mental health state of a person. This includes presenting an effective way of analysing the symptoms of ZR and relevant through processing patterns. This aims to connect the relevant aspects of the mental health states and emotional responses of ZR. The structural clinical interview method, which connects to SCID-5-CV, can be used for diagnostic purposes in psychiatric clinics and hospitals and to evaluate the treatment process of patients (Shabani et al., 2021). There are multiple beneficial methods for the assessment of mental health, which include presenting higher consistency and reliability in the assessments of symptoms that are currently presented to ZR.

In this process, a more unstructured and conventional approach is suited for maintaining the depth of the assessment to ZR’s unique experiences. Another barrier to the method is open communication. Higher trust and communication levels help assessment by enabling ZR to effectively present his thoughts without additional fear of judgment. The overall mental strains of ZR further influenced by external and internal factors which in term is a part of cognitive thought processing.

Conclusive assessment through monitoring of thoughts and feelings

 The cognitive assessment method is very useful in understanding and examining patterns of ZR. By following the cognitive behaviour model, cognitive restructuring techniques can be used to understand any connections between the elements of cognitive distortion and through the process (Persons et al., 2023). The monitoring of ZR’s thoughts and feelings can be done with the help of making entries in the diary. The recording systems can be used to express sudden exaggeration of feelings and emotions that ultimately lead to anxious states. This method is highly suitable to track and monitor the recurrence rates of recurring emotional states such as tension and hyper responsivity. After detailed monitoring, the cognitive restructuring process can begin, which includes changing or challenging the irrelevant and unjustifiable beliefs and responses of ZR, including constant monitoring of health to prevent tragic situations. The counter process of the relative through can be easily implemented with the help of the cognitive assessment method to make the perspective of ZR more balanced and stable. In an overall statement, the method of cognitive assessment provides an in depth understanding of patterns in internal thought processing of ZR with the aim of minimizing the relevant cognitive distortions.

Functional analysis and observation of behaviour

The behaviour observation analysis is one of the most common aspects of presentimental mental health assessment. Individuals with behavioural distortion are assessed through observations in different environments and other relevant contexts with the aim of identifying specific actions and factors that contribute to the behavioural changes. This method is indirectly relevant to the coping technique of the individuals, which in ZR’s case was skin pickling. The observation or monitoring process for skin picking can be conducted by focusing on the occurrence rates and the emotional states that trigger it. This method is also very effective in identifying the relevant patterns in the overall anxiety responses. The additional functional analysis was able to determine if the relevant skin picking cations of ZR are a coping mechanism of stress relief or any partial or common attempt of him in stabilizing the intranasal thought processes. For a real world scenario such as the case response of ZR, this method is going to be effective in describing or justifying the way that makes the symptoms of ZR effective in daily life.

Psychometric Tests and Measurement Report

The Psychometric Tests is a type of measurement technique that was applied to extract quantitative information regarding the cognitive distortions of ZR. Those measurement data can be further used to connect the anxiety levels of ZR with his compulsive behaviours. There are many types of Psychometric Tests that can be applied to the assessment of mental health. The most suitable test methods that can be applied in the case of ZR are the Beck Anxiety Inventory and the Skin Picking Scale. The Beck Anxiety Inventory is able to assess the overall integrity of ZR’s symptoms that are the result of changes in anxiety levels (Snodgrass et al., 2024). On the other hand, the skin picking scale was able to measure the overall rate of occurrence of the skin picking mechanism and its corresponding effects on the health of ZR. The Psychometric Tests bear some of the most valuable methods of mental health assessment, which enable the accurate assessment of the patients' health that is supported by countable evidence (Cooper, 2023). That information and evaluation results can be further used to compare the developed diagnostic criteria regarding ZR.

Social and Environmental Assessment

To understand the impact of surrounding social and environmental factors to words the experience of ZR, social and environmental assessment is also necessary. This process includes evaluating the stress levels that are created by professional factors in ZR’s life. This aims to determine the relationship between the working pressures and negative health symptoms. The family interactions and bonds also need to be analysed to identify any connection with the reassurance seeking behaviour of ZR. Those easements and assessments are expected to improve overall health conditions of the ZR, such as estimation of a more stable and healthy coping mechanism that is genuinely able to reduce ZR’s high stress levels.

Each of the presented assessment methods has its benefits and state of applicability. However, acknowledging the critical mental health state of ZR, a multi method approach is going to be suggested to present more accurate assessment results. 

Possible support and treatment options for ZR

The experience analysis of ZR presents relevant factors to his mental health states, which include constant thoughts about negative tragedies, frequent skin picking in stressful situations, and irrelevant attempts to safeguard the life of loved ones. With the justifications and explanations of the ZR’s symptoms with the help of the Cognitive Behaviour Model, relevant clarifications have been made regarding the cause, which includes cognitive distortions, unmanageable guilt feelings, and higher anxiety states of the mind. In this situation, the relevant treatment plan of operation for ZR needs to be specific and effective.

Cognitive Behaviour Therapy

Cognitive behavioural therapy (CBT) is a form of psychological treatment that has been demonstrated to be effective for a range of problems, including depression, anxiety disorders, alcohol and drug use problems, marital problems, eating disorders, and severe mental illness (apa.org, 2025). The main focus area of CBT is the combined process of finding and changing the factors that contribute to the negative thought processing of ZR.

The key techniques of CBT that are applicable in the case of ZR are presented below:

• Restructuring of cognitive thoughts: The restructuring of cognitive thoughts can be applicable and helpful for ZR as it enables him to manage and control all the irrelevant beliefs that are created in the mind (Hedman‐Lagerlöf et al., 2023). For ZR, the overall protective thoughts for the loved ons can be exchanged or modified to a more balanced perspective.
• Respect the prevention technique: This technique was aimed at reducing the reassurance seeking behaviour of ZR and its relevant coping mechanisms, such as skin picking. This this process, ZR was partially exposed to high anxiety situations to train his mind not to engage in any kind of compulsive responses.
• Behavioral control strategies: Behavioural control strategies can be applied to improve the level of control of ZR over his welling thoughts (Galloway et al., 2022).

 The wider applicability of method treatment techniques makes the CBT method more suitable for treating mental health states such as OCD and any kind of anxiety disorder (van Loenen et al., 2022).

Acceptance and Commitment Therapy (ACT)

Acceptance and commitment therapy (ACT) is a type of psychotherapy that helps move beyond negative thoughts and feelings in a meaningful way by accepting that thoughts and emotions are an appropriate response to certain situations (my.clevelandclinic.org, 2025). In this therapeutic treatment process, the treatment of mental health aspects is conducted by accepting the person’s distinct thoughts in exchange of focusing complete removal. Throughout this treatment process, ZR was expected to achieve psychological stability by influencing the negative thoughts of illness and accidents.

The technical application of Acceptance and Commitment Therapy is presented below:

• Particulate Through processing: Through the partial thought processing technique, ZR was determined to partially observe and understand his thinking trends and feelings without fully connecting to them (Ferreira et al., 2022). The meanings behind those thoughts also remain unvalidated by ZR.
• Value based action and reaction: Through the application of ACT, the method was determined to train the mind of ZR to engage in action that generated value instead of reacting to cognitive thoughts.

The benefits of the ACT therapy process are expected to be highlighted in the reduction of stress and anxiety levels that are connected to negative thoughts (Beige et al., 2023).

Conclusion

The thorough and in depth analysis of the case study determined that the distressful thoughts and behaviours of ZR are fueled by his tragic experience. In this process, the connection between distressing factors and symptoms of ZR was able to effectively understand by the application of the cognitive behaviour model. By applying the concepts of clinical assessment technique, it has been concluded that the treatment process of ZR requires a combined treatment plan of CBT and ACT, which potentially helps him manage through processing to ensure long term mental health stability.

References

• apa.org, (2025), What is Cognitive Behavioral Therapy?, Retrieved on 9^th June 2025: https://www.apa.org/ptsd-guideline/patients-and-families/cognitive-behavioral#:~:text=CBT%20treatment%20usually%20involves%20efforts,behavior%20and%20motivation%20of%20others [Accessed on: 9-6-2025] 
• Barber, K. E., Cram, I. F., Smith, E. C., Capel, L. K., Snorrason, I., & Woods, D. W. (2024). Anxiety and Body-Focused Repetitive Behaviors: A Systematic Review and Meta-Analysis of Comorbidity Rates and Symptom Associations. Journal of Psychiatric Research. Retrieved on 9^th June 2025: https://www.sciencedirect.com/science/article/pii/S0022395624006903
• Beygi, Z., Jangali, R. T., Derakhshan, N., Alidadi, M., Javanbakhsh, F., & Mahboobizadeh, M. (2023). An overview of reviews on the effects of acceptance and commitment therapy (ACT) on depression and anxiety. Iranian journal of psychiatry, 18(2), 248. Retrieved on 9^th June 2025: https://pmc.ncbi.nlm.nih.gov/articles/PMC10293686/
• Cooper, C. (2023). An introduction to psychometrics and psychological assessment: Using, interpreting and developing tests. Routledge. Retrieved on 9^th June 2025: https://www.taylorfrancis.com/books/mono/10.4324/9781003240181/introduction-psychometrics-psychological-assessment-colin-cooper
• Ferreira, M. G., Mariano, L. I., de Rezende, J. V., Caramelli, P., & Kishita, N. (2022). Effects of group Acceptance and Commitment Therapy (ACT) on anxiety and depressive symptoms in adults: A meta-analysis. Journal of affective disorders, 309, 297-308. Retrieved on 9^th June 2025: https://www.sciencedirect.com/science/article/pii/S0165032722004785
• Firmansyah, D., & Saepuloh, D. (2022). Social learning theory: Cognitive and behavioral approaches. Jurnal Ilmiah Pendidikan Holistik (JIPH), 1(3), 297-324. Retrieved on 9^th June 2025: https://www.researchgate.net/profile/DeriFirmansyah/publication/367220348_Social_Learning_Theory_Cognitive_and_Behavioral_Approaches/links/63ef71a319130a1a4a893997/Social-Learning-Theory-Cognitive-and-Behavioral-Approaches.pdf
• Galloway, R., Watson, H., Greene, D., Shafran, R., & Egan, S. J. (2022). The efficacy of randomised controlled trials of cognitive behaviour therapy for perfectionism: A systematic review and meta-analysis. Cognitive Behaviour Therapy, 51(2), 170-184. Retrieved on 9^th June 2025: https://www.tandfonline.com/doi/abs/10.1080/16506073.2021.1952302
• Hedman‐Lagerlöf, E., Carlbring, P., Svärdman, F., Riper, H., Cuijpers, P., & Andersson, G. (2023). Therapist‐supported Internet‐based cognitive behaviour therapy yields similar effects as face‐to‐face therapy for psychiatric and somatic disorders: an updated systematic review and meta‐analysis. World Psychiatry, 22(2), 305-314. Retrieved on 9^th June 2025: https://onlinelibrary.wiley.com/doi/abs/10.1002/wps.21088
• Kosheleva, Y. (2021). Linguistic Analysis Of Automatic Thouths And Cognitive Distortions Causing Individual’s Psychological Problems. European Proceedings of Social and Behavioural Sciences. Retrieved on 9^th June 2025: https://www.europeanproceedings.com/article/10.15405/epsbs.2021.12.81
• Murat, K. A. N. (2024). The relationship between cognitive distortions and obsessive-compulsive symptoms: An examination in young adults. Sentez Akademik Araştırmalar Dergisi, (1), 335-345. https://www.sentezacademic.com/index.php/jossar/article/view/11
• mbaknol.com, (2025), Five Stages Of Grief – Understanding the Kübler-Ross Model, Retrieved on 9^th June 2025 Retrieved on 9^th June 2025: https://www.mbaknol.com/healthcare-management/five-stages-of-grief-understanding-the-kubler-ross-model/
• my.clevelandclinic.org, (2025), Acceptance and Commitment Therapy (ACT), Retrieved on 9^th June 2025:https://my.clevelandclinic.org/health/treatments/acceptance-and-commitment-therapy-act-therapy [Accessed on: 9-6-2025]
• ncbi.nlm.nih.gov, (2025), Cognitive Behavior Therapy, Retrieved on 9^th June 2025:https://www.ncbi.nlm.nih.gov/books/NBK470241/ [Accessed on: 9-6-2025]
• Okumuş, H. G., & Akdemir, D. (2022). Body focused repetitive behavior disorders: behavioral models and neurobiological mechanisms. Turkish Journal of Psychiatry, 34(1), 50. Retrieved on 9^th June 2025: https://pmc.ncbi.nlm.nih.gov/articles/PMC10552165/
• Oleksandra, K. U. Z. O., Posokhova, A., & Liubov, K. U. Z. O. (2021). Cognitive-Behavioral Model of Generalized Anxiety Disorder Psychotherapy. BRAIN. Broad Research in Artificial Intelligence and Neuroscience, 12(1), 118-135. Retrieved on 9^th June 2025:https://brain.edusoft.ro/index.php/brain/article/view/1106
• psychcentral.com, (2024), How to Identify Cognitive Distortions: Examples and Meaning, Retrieved on 9^th June 2025:https://psychcentral.com/lib/cognitive-distortions-negative-thinking#discounting [Accessed on: 9-6-2025] 
• Persons, J. B., Marker, C. D., & Bailey, E. N. (2023). Changes in affective and cognitive distortion symptoms of depression are reciprocally related during cognitive behavior therapy. Behaviour Research and Therapy, 166, 104338. Retrieved on 9^th June 2025:https://www.sciencedirect.com/science/article/pii/S0005796723000876
• Shabani, A., Masoumian, S., Zamirinejad, S., Hejri, M., Pirmorad, T., & Yaghmaeezadeh, H. (2021). Psychometric properties of structured clinical interview for DSM‐5 disorders‐clinician version (SCID‐5‐CV). Brain and Behavior, 11(5), e01894. Retrieved on 9^th June 2025:https://onlinelibrary.wiley.com/doi/abs/10.1002/brb3.1894
• Snodgrass, M. A., Bieu, R. K., & Schroeder, R. W. (2024). Development of a symptom validity index for the beck anxiety inventory. The Clinical Neuropsychologist, 1-16. Retrieved on 9^th June 2025: https://www.tandfonline.com/doi/abs/10.1080/13854046.2024.2429162
• van Loenen, I., Scholten, W., Muntingh, A., Smit, J., & Batelaan, N. (2022). The effectiveness of virtual reality exposure–based cognitive behavioral therapy for severe anxiety disorders, obsessive-compulsive disorder, and posttraumatic stress disorder: Meta-analysis. Journal of medical Internet research, 24(2), e26736. Retrieved on 9^th June 2025:https://www.jmir.org/2022/2/e26736/
• Liu, H., Li, T. W., Liang, L., & Hou, W. K. (2021). Trauma exposure and mental health of prisoners and ex-prisoners: A systematic review and meta-analysis. Clinical Psychology Review, 89, 102069. Retrieved on: 9-6-2025, From: https://www.sciencedirect.com/science/article/pii/S0272735821001124
• Remes, O., Mendes, J. F., & Templeton, P. (2021). Biological, psychological, and social determinants of depression: a review of recent literature. Brain sciences, 11(12), 1633. Retrieved on: 9-6-2025, From: https://www.mdpi.com/2076-3425/11/12/1633
• Horne, G., & Swettenham, L. (2024). Toward a comprehensive professional philosophy in performance and well-being psychology: Integrating functional contextualism and relational frame theory for esports and other high-performance environments. Journal of Electronic Gaming and Esports, 2(1). Retrieved on: 9-6-2025, From: https://researchonline.ljmu.ac.uk/id/eprint/24816/4/Towards%20a%20Comprehensive%20Professional%20Philosophy%20in%20Performance%20and%20Wellbeing%20Psychology.pdf
• Gehrt, T. B., Frostholm, L., Obermann, M. L., & Berntsen, D. (2023). Thought characteristics in patients with severe health anxiety: A comparison with obsessive–compulsive disorder and healthy controls. Psychology of Consciousness: Theory, Research, and Practice, 10(1), 76. Retrieved on: 9-6-2025, From: https://pure.au.dk/portal/files/337892403/Thought_Characteristics_in_Patients_With_Severe_Health_Anxiety_Accepted_manuscript_2022.pdf
• Wang, X., Chen, J., Liu, Y. E., & Wu, Y. (2022). The effect of acceptance and commitment therapy on psychological nursing of acute cerebral infarction with insomnia, anxiety, and depression. Computational and Mathematical Methods in Medicine, 2022(1), 8538656. Retrieved on: 9-6-2025, From: https://onlinelibrary.wiley.com/doi/pdf/10.1155/2022/8538656
• Knoble, C., & Yu, D. (2023). Bridging the gap: analyzing the relationship between environmental justice awareness on twitter and socio-environmental factors using remote sensing and big data. Remote Sensing, 15(23), 5510. Retrieved on: 9-6-2025, From: https://www.mdpi.com/2072-4292/15/23/5510
• Mikkonen, K., Tomietto, M., & Watson, R. (2022). Instrument development and psychometric testing in nursing education research. Nurse Education Today, 119, 105603. Retrieved on: 9-6-2025, From: https://www.sciencedirect.com/science/article/pii/S0260691722003392
• ark, J. W., & Shin, M. H. (2021). The effect of stress on compulsive sexual behavior disorder: active coping strategy and self-control as mediators. Psychiatry investigation, 18(10), 997.Retrieved on: 09.06.2025 from https://pmc.ncbi.nlm.nih.gov/articles/PMC8542742/pdf/pi-2021-0010.pdf
• Curtiss, J.E., Levine, D.S., Ander, I. and Baker, A.W., (2021). Cognitive-behavioral treatments for anxiety and stress-related disorders. Focus, 19(2), pp.184-189. Retrieved on: 9-6-2025, From: https://psychiatryonline.org/doi/pdf/10.1176/appi.focus.20200045
• Wang, X., Zhou, Y., & Zhou, G. (2025). Unveiling the cognitive burden: the impact of stigma on distorted thinking among individuals living with hepatitis B. International Journal of Clinical and Health Psychology, 25(1), 100556. Retrieved on: 9-6-2025, From: https://www.sciencedirect.com/science/article/pii/S1697260025000146